Active NPI
Leeann Ambulance Service Inc
- Land Ambulance
- Moca, PR
National Provider Identifier
1952463739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 449
- Legal business name
- LEEANN AMBULANCE SERVICE INC
- Doing business as
- L.A.S.I.
- Practice address
- Carr 111 KM 13.0
Bo Capa
Moca, PR 00676 - Phone
- (787) 214-9833
- Fax
- (787) 551-7104
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jensen J Feliciano Muniz, SR
- Title
- President
- Phone
- (787) 214-9833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TC AMB 449 | PR | Primary |
Addresses
Primary practice location
Carr 111 KM 13.0
Bo Capa
Moca, PR 00676
Mailing address
HC 1 Box 6670
Moca, PR 00676-9529
Phone (787) 214-9833
Other names 1
- L.A.S.I.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070327000194 | PR | Part B Supplier - Ambulance Service Supplier | 7618071937 | Practice locations: Moca, PR |
National Provider Directory
National Provider DirectoryLocations
100 Carr 311
Cabo Rojo, PR 00623
Phone (787) 464-7842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1952463739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 6670",
"city": "MOCA",
"state": "PR",
"postal_code": "006769529",
"telephone_number": "787-214-9833",
"fax_number": "787-551-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 111 KM 13.0",
"address_2": "BO CAPA",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-214-9833",
"fax_number": "787-551-7104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEEANN AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2024-07-31",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "FELICIANO MUNIZ",
"authorized_official_first_name": "JENSEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-214-9833",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SR"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "L.A.S.I.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.